Individual provider · Type 1 NPI

Samantha Ann Shaw

Gerontology Nurse Practitioner · Winter Park, FL

NPI number 1457900730 Active

Practice location

1605 W Fairbanks Ave
Winter Park, FL 32789-4603

Other practice locations

  • 601 E Rollins St, Orlando, FL 32803-1248 · (407) 303-6611

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X11003385 (FL)
Gerontology Nurse Practitioner Primary 363LG0600XAPRN11003385 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1457900730

Samantha Ann Shaw's National Provider Identifier is 1457900730, issued on Sep 9, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Winter Park, FL. The record was last updated on Jul 28, 2025.